Herpes Zoster

  • Classically, herpes zoster will present with rash and pain in a dermatomal distribution
  • Immunocompromised patients are at greater risk for significant complications of zoster, including visceral dissemination and zoster ophthalmicus
  • Appropriate therapy includes antiviral therapy within 72 hours of onset of symptoms and analgesia for acute neuritis
  • Disseminated zoster and zoster ophthalmicus threatening sight should be treated with IV antivirals